Nonendoscopic Management Strategies for Acute Esophagogastric Variceal Bleeding

被引:37
|
作者
Satapathy, Sanjaya K. [1 ]
Sanyal, Arun J. [2 ]
机构
[1] Univ Tennessee, Hlth Sci Ctr, Div Surg, Methodist Univ Hosp Transplant Inst, Memphis, TN 38104 USA
[2] Virginia Commonwealth Univ, Div Gastroenterol, Dept Internal Med, Sch Med, Richmond, VA 23298 USA
关键词
Portal hypertension; Variceal hemorrhage; Variceal bleeding; Varices; TIPS; Portosytemic shunt; BRTO; INTRAHEPATIC PORTOSYSTEMIC SHUNT; RETROGRADE TRANSVENOUS OBLITERATION; VASOPRESSIN PLUS NITROGLYCERIN; SENGSTAKEN-BLAKEMORE TUBE; CONTROLLED CLINICAL-TRIAL; BLOOD-VOLUME RESTITUTION; GASTRIC FUNDAL VARICES; PORTAL-HYPERTENSION; ESOPHAGEAL-VARICES; CIRRHOTIC-PATIENTS;
D O I
10.1016/j.gtc.2014.08.011
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Acute variceal bleeding is a potentially life-threatening complication of portal hypertension. Management consists of emergent hemostasis, therapy directed at hemodynamic resuscitation, protection of the airway, and prevention and treatment of complications including prophylactic use of antibiotics. Endoscopic treatment remains the mainstay in the management of acute variceal bleeding in combination with pharmacotherapy aimed at reducing portal pressure. This article intends to highlight only the current nonendoscopic treatment approaches for control of acute variceal bleeding.
引用
收藏
页码:819 / +
页数:16
相关论文
共 50 条
  • [11] Management of acute gastric variceal bleeding
    Matsumoto, A
    Izumiya, T
    Takimoto, K
    Inokuchi, H
    ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2003, 18 (11-12) : 1173 - 1174
  • [12] Acute variceal bleeding: general management
    Patch, D
    Dagher, L
    WORLD JOURNAL OF GASTROENTEROLOGY, 2001, 7 (04) : 466 - 475
  • [13] Investigation report on endoscopic management of esophagogastric variceal bleeding by Chinese endoscopists
    Zhang, Wenhui
    Wang, Yanling
    Chu, Jindong
    Liu, Yingdi
    LingHu, Enqiang
    MEDICINE, 2022, 101 (42) : E31263
  • [14] Multidisciplinary management strategies for acute non-variceal upper gastrointestinal bleeding
    Lu, Y.
    Loffroy, R.
    Lau, J. Y. W.
    Barkun, A.
    BRITISH JOURNAL OF SURGERY, 2014, 101 (01) : E34 - E50
  • [15] Review article: The management of acute variceal bleeding
    Ferguson, JW
    Tripathi, D
    Hayes, PC
    ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2003, 18 (03) : 253 - 262
  • [16] MEDICAL-MANAGEMENT OF ACUTE VARICEAL BLEEDING
    NAVASA, M
    RODES, J
    EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 1990, 2 (05) : 331 - 333
  • [17] An update on the management of acute esophageal variceal bleeding
    Cabrera, Lourdes
    Tandon, Puneeta
    Abraldes, Juan G.
    GASTROENTEROLOGIA Y HEPATOLOGIA, 2017, 40 (01): : 34 - 40
  • [18] Esophagogastric variceal bleeding in cirrhotic portal hypertension: consensus on prevention and management (2008)
    Cheng Liu-fang
    Jia Ji-dong
    Xu Xiao-yuan
    Linghu En-qiang
    Liu Yu-lan
    Leng Xi-sheng
    Wang Mao-qiang
    CHINESE MEDICAL JOURNAL, 2009, 122 (07) : 766 - 775
  • [19] Prediction in-hospital mortality of acute esophagogastric variceal bleeding: which is the best score?
    Monteiro, S.
    Goncalves, T. C.
    Magalhaes, J.
    Carvalho, P. B.
    Marinho, C.
    Cotter, J.
    JOURNAL OF HEPATOLOGY, 2017, 66 (01) : S572 - S572